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Risk of Falls

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Michael Kavanagh

on 29 March 2016

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Transcript of Risk of Falls

Physical Activity Epidemiology
CA - Elevator Pitch

Michael Kavanagh

Tackling the Risk of Falls
in the Older Adult Population
The Economic Cost of Falling
In Ireland - 7,250 OA's are admitted to hospital each year.

The Human Cost of Falling
Importance of PA
Longitudinal Study:
Square Stepping Exercises >120minutes/week increased balance and muscle strength (Teixeira et al., 2013)
Projected Population in Ireland
2011 - 535,393 older adults (65y +)
11.6% of the population.

by 2041
Approx 1.4m older adults (65y +)

22% of the population
(Central Statistics Office, 2012)
(Central Statistics Office, 2012)
In 2008, falls cost the economy €402m
by 2031 - €1,587 - €2,043m
(Rubenstein & Josephson, 2002)
2.6 times higher than 2011
TILDA - Longitudinal Study
(Murtagh et al., 2015)

Quasi-Experimental: Multidimensional Exercise Programme increased balance and reduced risk of falls by 33% and increased risk by 8% (control) (Shumway-Cook et al., 1997)
RCT: Multidimensional Exercise Programme reduced falls by 36% (RR 0.64) (Davison et al., 2005)
Muscle & Bone
Increased Risk of Falls
Fear of Falling
Physical Inactivity
Otago Exercise Programme (OEP)
17 strength & balance exercises delivered by a physical therapist in the home.
32% less likely chance of falls OEP vs No OEP
RR 0.68 (0.56-0.79)
Concluding Statement:
Fall Prevention Programme
Reduce risk of falls / mortality
Decrease the cost of falls on the economy
Improve quality of life in elder years
Health Service Executive. (2008). Strategy to Prevent Falls and Fractures in Ireland’s Ageing Population. Retrieved on February 25th, 2016, from http://www.hse.ie/eng/services/publications/olderpeople/Strategy_to_Prevent_Falls_and_Fractures_in_Ireland%E2%80%99s_Ageing_Population_-_Full_report.pdf

Central Statistics Office. (2012). This is Ireland – Highlights from Census 2011. Dublin: Central Statistics Office.
Health Service Executive (2008)
Rubenstein, L. Z., & Jospehson, K. R. (2002). The epidemiology of falls and syncope. Clinics in Geriatric Medicine, 18, 141-185.
Murtagh, E. M., Murphy, M. H., Murphy, N. M., Woods, C., Nevill, A. M., & Lane, A. (2015). Prevalence and Correlates of Physical Inactivity in Community Dwelling Older Adults in Ireland.
PLoS ONE 10(2): e0118293. doi:10.1371/journal.pone.0118293.
Shumway-Cook, A., Gruber, W., Baldwin, M., & Liao, S. (1997). The Effect of Multidimensional Exercises on Blance, Mobility, and Fall Risk in Community-Dwelling Older Adults. Physical Therapy, 77(1), 46-57.

Teixeira, C.V., Gobbi, S., Pereira, J.R., Ueno, D.T., Shigematsu, R., & Gobbi, L.T. (2013). Effect of square-stepping exercise and basic exercise on functional fitness of older adults. Geriatric Gerontology Int, 13(4), 842-848.

Davison, J., Bond, J., Dawson, P., Steen, I. N., & Kenny, R. A. (2005). Patients with recurrent falls attending Accident & Emergency benefit from multifactorial intervention—A randomised controlled trial.
Age Ageing, 34
(2), 162–68.
Thomas, S., Mackintosh, S., & Halbert, J. (2010). Does the ‘Otago exercise programme’ reduce mortality and falls in older adults?: a systematic review and meta-analysis. Age Ageing, 39(6), 681-687.
Reference List:
(Thomas et al., 2010)
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